Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Fee Schedule
Low
$77
Average
$3.9k
Median
$3.2k
High
$14.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
60 payers; the 90th percentile is 6.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 274 | $4.5k | $6.1k | $7.5k | 123% | 1–10 | $1 – $40.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +26 other terms | 442 | $5.2k | $4.8k | $7.2k | 151% | — | $1 – $158.9k |
| 3 | Aetna fee schedule · outpatient · +21 other terms | 376 | $2.5k | $3.3k | $4.2k | 127% | — | $1 – $37.0k |
| 4 | Cigna fee schedule · outpatient · +22 other terms | 308 | $5.2k | $6.1k | $7.7k | 125% | — | $76 – $51.0k |
| 5 | Humana fee schedule · outpatient · +21 other terms | 247 | $3.5k | $2.5k | $2.6k | 106% | — | $1 – $12.1k |
| 6 | Molina fee schedule · outpatient · +23 other terms | 154 | $613 | $2.0k | $3.1k | 152% | — | $1 – $18.0k |
| 7 | Anthem fee schedule · outpatient · +15 other terms | 108 | $1.8k | $1.4k | $3.4k | 241% | — | $67 – $32.3k |
| 8 | WellCare fee schedule · outpatient · +12 other terms | 85 | $5.4k | $5.0k | $3.4k | 69% | — | $74 – $12.7k |
| 9 | MultiPlan fee schedule · outpatient · +16 other terms | 74 | $5.8k | $5.3k | $3.9k | 73% | — | $134 – $15.3k |
| 10 | Aetna Better Health fee schedule · outpatient · +13 other terms | 70 | $172 | $543 | $1.2k | 224% | — | $140 – $5.9k |
| 11 | Kaiser fee schedule · outpatient · +16 other terms | 60 | $5.4k | $6.3k | $7.5k | 119% | — | $76 – $40.4k |
| 12 | Ambetter fee schedule · outpatient · +10 other terms | 40 | $497 | $2.9k | $4.0k | 135% | — | $109 – $12.4k |
| 13 | Tricare fee schedule · outpatient · +12 other terms | 38 | $4.9k | $4.4k | $1.8k | 40% | — | $1.4k – $6.8k |
| 14 | First Health fee schedule · outpatient · +13 other terms | 34 | $2.8k | $2.3k | $3.6k | 157% | — | $151 – $13.1k |
| 15 | Caresource fee schedule · outpatient · +11 other terms | 33 | $2.0k | $1.6k | $2.0k | 120% | — | $1 – $5.7k |
| 16 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 32 | $1.8k | $2.9k | $2.6k | 87% | — | $159 – $5.7k |
| 17 | Devoted fee schedule · outpatient · +9 other terms | 31 | $5.4k | $4.0k | $2.5k | 63% | — | $89 – $5.9k |
| 18 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $3.0k | $3.1k | $811 | 27% | — | $840 – $4.6k |
| 19 | Clover fee schedule · outpatient · +7 other terms | 26 | $5.9k | $5.9k | $243 | 4% | — | $5.4k – $6.4k |
| 20 | Highmark facility · fee schedule · outpatient · +13 other terms | 25 | $6.5k | $6.5k | $5.9k | 91% | — | $43 – $24.5k |
| 21 | Regence professional · fee schedule · outpatient · +9 other terms | 25 | $77 | $112 | $59 | 52% | — | $70 – $396 |
| 22 | Medicare fee schedule · outpatient · +12 other terms | 24 | $89 | $1.2k | $2.2k | 179% | — | $76 – $5.6k |
| 23 | Oscar facility · fee schedule · outpatient · +12 other terms | 24 | $8.5k | $5.9k | $4.2k | 71% | — | $166 – $9.6k |
| 24 | Amerihealth Caritas facility · fee schedule · outpatient · +8 other terms | 22 | $45 | $1.1k | $2.2k | 197% | — | $43 – $5.8k |
| 25 | Optum fee schedule · outpatient · +11 other terms | 21 | $1.4k | $3.0k | $2.7k | 88% | — | $89 – $7.5k |
← Hospitals reporting CPT 75842 · Snapshot 20261112T181611Z-3fa9fb76